<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pt_order_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pt_order_id" data-rule="required" data-source="pt/order/index" class="form-control selectpage" name="row[pt_order_id]" type="text" value="{$row.pt_order_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Order_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-order_no" data-rule="required" class="form-control" name="row[order_no]" type="text" value="{$row.order_no|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('User_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_name" data-rule="required" class="form-control" name="row[user_name]" type="text" value="{$row.user_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Id_card')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-id_card" data-rule="required" class="form-control" name="row[id_card]" type="text" value="{$row.id_card|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Edu_level')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-edu_level" data-rule="required" class="form-control" name="row[edu_level]" type="number" value="{$row.edu_level|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Agency_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-agency_id" data-rule="required" data-source="agency/index" class="form-control selectpage" name="row[agency_id]" type="text" value="{$row.agency_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Agency_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-agency_name" class="form-control" name="row[agency_name]" type="text" value="{$row.agency_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Series_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-series_id" data-rule="required" data-source="series/index" class="form-control selectpage" name="row[series_id]" type="text" value="{$row.series_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Series_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-series_name" class="form-control" name="row[series_name]" type="text" value="{$row.series_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Major_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-major_id" data-rule="required" data-source="major/index" class="form-control selectpage" name="row[major_id]" type="text" value="{$row.major_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Major_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-major_name" class="form-control" name="row[major_name]" type="text" value="{$row.major_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('School')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-school" class="form-control" name="row[school]" type="text" value="{$row.school|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Need_degree')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-need_degree" class="form-control" name="row[need_degree]" type="number" value="{$row.need_degree|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Need_exam')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-need_exam" class="form-control" name="row[need_exam]" type="number" value="{$row.need_exam|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Entrance_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-entrance_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[entrance_time]" type="text" value="{$row.entrance_time}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Graduation_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-graduation_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[graduation_time]" type="text" value="{$row.graduation_time}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Registration_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-registration_fee" class="form-control" step="0.01" name="row[registration_fee]" type="number" value="{$row.registration_fee|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Auxiliary_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-auxiliary_fee" class="form-control" step="0.01" name="row[auxiliary_fee]" type="number" value="{$row.auxiliary_fee|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Paper_auxiliary_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-paper_auxiliary_fee" class="form-control" step="0.01" name="row[paper_auxiliary_fee]" type="number" value="{$row.paper_auxiliary_fee|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Rebate')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-rebate" class="form-control" step="0.01" name="row[rebate]" type="number" value="{$row.rebate|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Leader_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-leader_id" data-rule="required" data-source="leader/index" class="form-control selectpage" name="row[leader_id]" type="text" value="{$row.leader_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Leader_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-leader_name" data-rule="required" class="form-control" name="row[leader_name]" type="text" value="{$row.leader_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-price" class="form-control" step="0.01" name="row[price]" type="number" value="{$row.price|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Remarks')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-remarks" class="form-control" name="row[remarks]" type="text" value="{$row.remarks|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Create_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-create_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[create_time]" type="text" value="{$row.create_time}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Update_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-update_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[update_time]" type="text" value="{$row.update_time}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
